INTEGRIS PROHEALTH, INC (NPI# 1881127017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881127017 |
| Entity Type | Organization |
| Organization Name | INTEGRIS PROHEALTH, INC |
| Other Organization Name | INTEGRIS IMAGING |
| Practice Address |
3366 Nw Expressway Suite #140 Oklahoma City OK 73112-4462 |
| Practice Telephone | 4057137457 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | MR. C BRUCE LAWRENCE (PRESIDENT/CEO) |
| Authorized Official Telephone | 4059493177 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| INTEGRIS Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760905228 | Integris Prohealth, Inc | Pharmacy | 700 24th Ave Nw Ste 102, Norman, OK 73069-6232 | 2017-07-17 |
| Street Address |
3366 NW EXPRESSWAY SUITE #140 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679623 | Sudhir Kumar Khanna | Internal Medicine | 3366 Nw Expressway, Ste 550, Oklahoma City, OK 73112-4489 | 2005-06-16 |
| 1205440351 | Ashley Bouknight | Nurse Practitioner | 3366 Nw Expressway, Building D, Suite 400, Oklahoma City, OK 73112 | 2020-09-06 |
| 1972047082 | Jenifer Stockton | Nurse Practitioner | 3366 Nw Expressway, Building D Suite 660, Oklahoma City, OK 73112-4462 | 2016-12-08 |
| 1649646159 | Terrie Lynn Kiker | Clinical Nurse Specialist | 3366 Nw Expressway, Suite 200, Oklahoma City, OK 73112-4462 | 2015-08-19 |
| 1699150409 | Abeera Ali | Psychiatry & Neurology | 3366 Nw Expressway, Oklahoma City, OK 73112-4462 | 2015-07-22 |
| 1437596442 | Bhavi Shah | Nurse Practitioner | 3366 Nw Expressway, Suite 660, Oklahoma City, OK 73112-4462 | 2013-05-30 |
| 1386992246 | Mamoon Rasheed | Internal Medicine | 3366 Nw Expressway, Ste 550, Oklahoma City, OK 73112-4489 | 2012-08-27 |
| 1356612063 | Urology Specialists of Central Oklahoma LLC | Urology | 3366 Nw Expressway, Suite 500, Oklahoma City, OK 73112-4462 | 2012-01-26 |
| 1326324195 | Leighann Morrill Brown | Clinical Nurse Specialist | 3366 Nw Expressway, Suite 200, Oklahoma City, OK 73112-4462 | 2011-10-25 |
| 1770873069 | Kristen A Downs | Nurse Practitioner | 3366 Nw Expressway, Suite 660, Oklahoma City, OK 73112-4462 | 2011-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962768143 | Comprehensive Diagnostic Imaging, LLC | Clinic/Center | 5800 North Portland Avenue, Oklahoma City, OK 73112 | 2012-04-02 |
| 1770751281 | Hefner Ct Associates | Clinic/Center | 3400 West Hefner Road, Oklahoma City, OK 73120 | 2008-02-19 |
| 1174552947 | Ct Associates No. 1, L.L.C. | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2006-07-02 |
| 1114962420 | Therasolutions, Inc. | Clinic/Center | 5900 Mosteller Dr, Suite 150, Oklahoma City, OK 73112-4600 | 2006-06-19 |
| 1528011681 | E Plus Pet Imaging Iv Lp | Clinic/Center | 111 Harrison Ave, Suite 104, Oklahoma City, OK 73104-1817 | 2006-05-18 |
| 1326024571 | Oklahoma Diagnostic Imaging Ltd | Clinic/Center | 236 Nw 62nd St, Oklahoma City, OK 73118-7422 | 2005-12-20 |
| 1710338066 | Metro Imaging Partners LLC | Clinic/Center | 3400 W Hefner Rd, Oklahoma City, OK 73120-5083 | 2016-06-28 |
| 1689950180 | Diagnostic Imaging Solutions | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2011-10-27 |
| 1588940084 | Comps Medical | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2011-10-27 |
| 1124300512 | Ssm Healthcare of Ok, Inc | Clinic/Center | 1000 N Lee Ave, 4th Floor, Oklahoma City, OK 73102-1036 | 2011-09-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.